JP2020510933A5 - - Google Patents

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JP2020510933A5
JP2020510933A5 JP2019548413A JP2019548413A JP2020510933A5 JP 2020510933 A5 JP2020510933 A5 JP 2020510933A5 JP 2019548413 A JP2019548413 A JP 2019548413A JP 2019548413 A JP2019548413 A JP 2019548413A JP 2020510933 A5 JP2020510933 A5 JP 2020510933A5
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患者状態モニタリング方法を実行するために、表示装置に動作可能に接続された少なくとも1つの電子プロセッサによって読み取り可能かつ実行可能な命令を格納する非一時的記憶媒体であって、前記患者状態モニタリング方法は、
少なくとも1つのデータベースから患者の医療情報を取り出すステップと、
取り出された前記医療情報に臨床意思決定支援処理を適用することによって、少なくとも神経系システム、心血管系システム、及び呼吸器系システムを含む複数の身体システム又は生理機能のそれぞれについて状態を計算するステップと、
前記複数の身体システム又は生理機能に対応する複数のアイコンセクションを有する患者状態アイコンを前記表示装置上に表示するステップであって、各アイコンセクションは、前記患者の対応する前記身体システム又は生理機能の計算された前記状態を表すグラフィカル符号化で表示される、ステップとを含む、非一時的記憶媒体。
A non-temporary storage medium that stores instructions that can be read and executed by at least one electronic processor operably connected to a display device for performing a patient condition monitoring method, said patient condition monitoring method. ,
Steps to retrieve patient medical information from at least one database,
By applying clinical decision support processing to the extracted medical information, a step of calculating a state for each of a plurality of physical systems or physiological functions including at least a nervous system system, a cardiovascular system, and a respiratory system. When,
A step of displaying a patient status icon having a plurality of icon sections corresponding to the plurality of physical systems or physiological functions on the display device, and each icon section is a step of displaying the patient's corresponding physical system or physiological function of the patient. A non-temporary storage medium, including steps, displayed in graphical encoding representing the calculated state.
前記患者状態アイコンの前記複数のアイコンセクションは、
前記心血管系システムに対応し、前記患者状態アイコンの中央に位置する領域を含む心血管アイコンセクションと、
前記神経系システムに対応し、前記心血管アイコンセクションの上に位置する領域を含む神経アイコンセクションと、
前記呼吸器系システムに対応し、前記患者状態アイコン内の前記心血管アイコンセクションの左右にそれぞれ位置する領域を含む左サブセクション及び右サブセクションを含む呼吸アイコンセクションとを含む、請求項1に記載の非一時的記憶媒体。
The plurality of icon sections of the patient status icon
A cardiovascular icon section that corresponds to the cardiovascular system and contains a centrally located area of the patient status icon.
A neural icon section that corresponds to the nervous system and contains an area above the cardiovascular icon section.
The first aspect of the invention, which corresponds to the respiratory system and includes a left subsection including regions located to the left and right of the cardiovascular icon section in the patient status icon and a respiratory icon section including a right subsection. Non-temporary storage medium.
前記複数の身体システム又は生理機能はさらに全身感染生理機能を含み、
前記患者状態アイコンの前記複数のアイコンセクションはさらに、前記全身感染生理機能に対応する全身感染アイコンセクションを含み、前記全身感染アイコンセクションは、前記患者状態アイコンの外側境界を含む、請求項1又は2に記載の非一時的記憶媒体。
The plurality of bodily systems or physiology further include systemic infectious physiology.
The plurality of icon sections of the patient status icon further include a systemic infection icon section corresponding to the systemic infection physiological function, and the systemic infection icon section includes an outer boundary of the patient status icon, claim 1 or 2. The non-temporary storage medium described in.
前記複数の身体システム又は生理機能はさらに、(i)消化器系システムと(ii)腎系システムとのうちの少なくとも一方を含み、
前記患者状態アイコンの前記複数のアイコンセクションはさらに、(i)前記消化器系システムに対応し、前記心血管アイコンセクションの下に位置する胃腸アイコンセクションと、(ii)前記腎系システムに対応し、前記心血管アイコンセクションの下に位置する腎臓アイコンセクションとのうちの少なくとも一方を含む、請求項1から3のいずれか一項に記載の非一時的記憶媒体。
The plurality of physical or physiological functions further include (i) a digestive system and (ii) a renal system.
The plurality of icon sections of the patient status icon further correspond to (i) the digestive system, a gastrointestinal icon section located below the cardiovascular icon section, and (ii) the renal system. The non-temporary storage medium according to any one of claims 1 to 3, comprising at least one of the kidney icon section located below the cardiovascular icon section.
前記複数の身体システム又は生理機能はさらに血液生理機能を含み、
前記患者状態アイコンの前記複数のアイコンセクションはさらに、前記血液生理機能に対応する血液アイコンセクションを含み、前記血液アイコンセクションは、前記患者状態アイコンの内側境界線を含む、請求項1から4のいずれか一項に記載の非一時的記憶媒体。
The plurality of bodily systems or physiology further include blood physiology.
The plurality of icon sections of the patient status icon further include a blood icon section corresponding to the blood physiology function, and the blood icon section includes an inner boundary line of the patient status icon, according to any one of claims 1 to 4. The non-temporary storage medium described in paragraph 1.
各アイコンセクションは、前記患者の対応する前記身体システム又は生理機能の計算された前記状態を表す色を含むグラフィカル符号化で前記表示装置上に表示される、請求項1から5のいずれか一項に記載の非一時的記憶媒体。 Each icon section, the display on said display device a graphical encoding including color representing the calculated the state of the patient of the corresponding body system or physiology, any one of claims 1 to 5 The non-temporary storage medium described in. 前記グラフィカル符号化は、白色が対応する前記身体システム又は生理機能の通常の計算された状態を表し、黄色が対応する前記身体システム又は生理機能の重大ではない異常な計算された状態を表し、赤色が対応する前記身体システム又は生理機能の重大な異常な計算された状態を表す符号化スキームに従う、請求項1から6のいずれか一項に記載の非一時的記憶媒体。 In the graphical coding, white represents the normal calculated state of the corresponding body system or physiology, yellow represents the non-critical abnormal calculated state of the corresponding body system or physiology, and red. The non-temporary storage medium according to any one of claims 1 to 6, wherein is subject to a coding scheme that represents a critically abnormal calculated state of the corresponding physical system or physiological function. 白色、黄色、又は赤色以外の背景色は、対応する前記身体システム又は生理機能の不確定の計算された状態を表す符号化スキームに従う、請求項7に記載の非一時的記憶媒体。 The non-temporary storage medium of claim 7, wherein a background color other than white, yellow, or red follows a coding scheme that represents the calculated state of uncertainty of the corresponding physical system or physiological function. 前記患者状態モニタリング方法はさらに、
取り出された前記医療情報から、前記複数の身体システム又は生理機能のうちの治療を受けている身体システム又は生理機能の治療のために前記患者に送達されている医薬療法を識別するステップと、
前記患者状態アイコンを前記表示装置上に表示する前記ステップは、治療を受けている前記身体システム又は生理機能に対応する前記アイコンセクションに前記医薬療法を表す医薬療法インジケータの注釈を付すステップとを含む、請求項1から8のいずれか一項に記載の非一時的記憶媒体。
The patient condition monitoring method further
From the extracted medical information, a step of identifying a pharmaceutical therapy being delivered to the patient for the treatment of the physical system or physiological function being treated among the plurality of physical systems or physiological functions, and
The step of displaying the patient status icon on the display device includes the step of annotating the pharmaceutical therapy indicator representing the pharmaceutical therapy in the icon section corresponding to the physical system or physiological function being treated. , The non-temporary storage medium according to any one of claims 1 to 8.
前記医薬療法インジケータは、前記医薬療法によって生成される前記患者を流れる流体の流れを表す1つ又は複数の矢印を含む、請求項9に記載の非一時的記憶媒体。 The non-temporary storage medium of claim 9, wherein the pharmaceutical therapy indicator comprises one or more arrows representing the flow of fluid through the patient produced by the pharmaceutical therapy. 前記患者状態アイコンを前記表示装置上に表示する前記ステップは、前記患者の医療ワークフロー状態を示す形状を有する前記患者状態アイコンを表示するステップを含み、前記医療ワークフロー状態は、術前ワークフロー状態、術中状態、術後状態、成人患者状態、小児患者状態、及び母親と胎児両方の状態を示す妊娠状態のうちの少なくとも1つを含む、請求項1から10のいずれか一項に記載の非一時的記憶媒体。 The step of displaying the patient state icon on the display device includes a step of displaying the patient state icon having a shape indicating the medical workflow state of the patient, and the medical workflow state includes a preoperative workflow state and an intraoperative procedure. The non-temporary condition according to any one of claims 1 to 10, including at least one of a condition, a postoperative condition, an adult patient condition, a pediatric patient condition, and a pregnancy condition indicating both a maternal and fetal condition. Storage medium. 少なくとも1つのデータベースから患者の医療情報を取り出すステップと、
取り出された前記医療情報に臨床意思決定支援処理を適用することによって、少なくとも神経系システム、心血管系システム、及び呼吸器系システムを含む複数の身体システム又は生理機能のそれぞれについて状態を計算するステップと、
前記複数の身体システム又は生理機能に対応する複数のアイコンセクションを有する患者状態アイコンを前記表示装置上に表示するステップであって、各アイコンセクションは、前記患者の対応する前記身体システム又は生理機能の計算された前記状態のカラー符号化で表示される、ステップとを含み、身体システムに対応する前記アイコンセクションは、前記患者の身体の冠状面における対応する前記身体システムのマップを形成する、患者状態モニタリング方法。
Steps to retrieve patient medical information from at least one database,
By applying clinical decision support processing to the extracted medical information, a step of calculating a state for each of a plurality of physical systems or physiological functions including at least a nervous system system, a cardiovascular system, and a respiratory system. When,
A step of displaying a patient status icon having a plurality of icon sections corresponding to the plurality of physical systems or physiological functions on the display device, and each icon section is a step of displaying the patient's corresponding physical system or physiological function of the patient. The patient state, including steps and corresponding to the body system, which is displayed in the calculated color coding of the state, forms a map of the corresponding body system on the coronal surface of the patient's body. Monitoring method.
前記複数の身体システム又は生理機能はさらに、少なくとも全身感染生理機能、消化器系システム、腎系システム、及び血液生理機能を含み、
前記患者状態アイコンを表示する前記ステップは、
前記心血管系システムに対応し、前記アイコンの中央に位置する領域を含む心血管アイコンセクションと、
前記神経系システムに対応し、前記心血管アイコンセクションの上に位置する領域を含む神経アイコンセクションと、
前記呼吸器系システムに対応し、前記患者状態アイコン内の前記心血管アイコンセクションの左右にそれぞれ位置する領域を含む左サブセクション及び右サブセクションを含む呼吸アイコンセクションと、
前記全身感染生理機能に対応し、前記患者状態アイコンの外側境界を含む全身感染アイコンセクションと、
前記消化器系システムに対応し、前記心血管アイコンセクションの下に位置する領域を含む胃腸アイコンセクションと、
前記腎系システムに対応し、前記心血管アイコンセクションの下に位置する領域を含む腎臓アイコンセクションと、
前記血液生理機能に対応し、前記患者状態アイコンの内側境界線を含む血液アイコンセクションとを含む前記複数のアイコンセクションを有する前記患者状態アイコンを表示するステップを含む、請求項12に記載の方法。
The plurality of physical or physiological functions further include at least systemic infectious physiological functions, digestive system systems, renal system systems, and blood physiological functions.
The step of displaying the patient status icon is
A cardiovascular icon section that corresponds to the cardiovascular system and contains a centrally located area of the icon.
A neural icon section that corresponds to the nervous system and contains an area above the cardiovascular icon section.
A respiratory icon section that corresponds to the respiratory system and includes a left and right subsections that include areas located to the left and right of the cardiovascular icon section within the patient status icon.
A systemic infection icon section that corresponds to the systemic infection physiology and includes the outer border of the patient status icon.
A gastrointestinal icon section that corresponds to the digestive system and includes an area located below the cardiovascular icon section.
A renal icon section that corresponds to the renal system and contains an area below the cardiovascular icon section.
12. The method of claim 12, comprising displaying the patient status icon corresponding to the blood physiology function and having the plurality of icon sections including a blood icon section including an inner border of the patient status icon.
前記患者状態アイコンを表示する前記ステップは、
各アイコンセクションを、前記患者の対応する前記身体システム又は生理機能の計算された前記状態を表す色によってカラー符号化するステップを含み、前記カラー符号化は、
白色が対応する前記身体システム又は生理機能の通常の計算された状態を表し、
黄色が対応する前記身体システム又は生理機能の重大ではない異常な計算された状態を表し、
赤色が対応する前記身体システム又は生理機能の重大な異常な計算された状態を表し、
白色、黄色、又は赤色以外の背景色が対応する前記身体システム又は生理機能の不確定の計算された状態を表す符号化スキームに従う、請求項12又は13に記載の方法。
The step of displaying the patient status icon is
Each icon section comprises a step of color coding with a color representing the calculated state of said physical system or physiological function of the patient, said color coding.
The white color represents the normal calculated state of the corresponding physical system or physiology.
Yellow represents a non-critical calculated condition of the corresponding physical system or physiology.
The red color represents a critically abnormal calculated state of the corresponding physical system or physiology.
12. The method of claim 12 or 13, according to a coding scheme in which a background color other than white, yellow, or red represents the calculated state of uncertainty of the corresponding physical system or physiological function.
取り出された前記医療情報から、前記複数の身体システム又は生理機能のうちの治療を受けている身体システム又は生理機能の治療のために前記患者に送達されている医薬療法を識別するステップと、
治療を受けている前記身体システム又は生理機能に対応する前記アイコンセクションに前記医薬療法を表す医薬療法インジケータの注釈を付すステップとをさらに含み、前記医薬療法インジケータは、前記医薬療法によって生成される前記患者を流れる流体の流れを表す1つ又は複数の矢印を含む、請求項12から14のいずれか一項に記載の方法。
From the extracted medical information, a step of identifying a pharmaceutical therapy being delivered to the patient for the treatment of the physical system or physiological function being treated among the plurality of physical systems or physiological functions, and
The icon section corresponding to the body system or physiological function being treated further includes the step of annotating the pharmaceutical therapy indicator representing the pharmaceutical therapy, wherein the pharmaceutical therapy indicator is produced by said pharmaceutical therapy. includes one or more arrows representing the flow of fluid through the patient, method of any one of claims 12 to 14.
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